Individual provider Active NPI

Judith Ashworth, PCNS

  • Psychiatric/Mental Health Registered Nurse
  • Warwick, RI
National Provider Identifier
1669417077
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
RN14141 Issued in RI
Practice address
33 College Hill Rd
BLDG 29
Warwick, RI 02886-2776
Phone
(401) 822-4673
Fax
(401) 822-4676
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN14141 RI Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X APRN00187 RI
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X CAPRN00187 RI

Addresses

Primary practice location

33 College Hill Rd
BLDG 29
Warwick, RI 02886-2776

Mailing address

33 College Hill Rd
BLDG 29
Warwick, RI 02886-2776
Phone (401) 822-4673

Other identifiers 5

IdentifierTypeStateIssuer
BLK31OtherRIGIC
410930OtherRIBLUE CROSS OF IL
26721-4OtherRIBLUECROSS & BLUE SHIELD
05-0468084OtherRIUNITED HEALTH PLANS
410930OtherRICOORDINATED HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000110 RI Practitioner - Certified Clinical Nurse Specialist (CNS) 0648450916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Angell Street Psychiatry LTDGroup PAC ID 5496656977, 9 clinicians

Practice addresses (Care Compare)

33 College Hill Rd
Suite 29C
Warwick, RI 02886-2775
Phone (401) 822-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Angell Street Psychiatry LTD Psychiatric/Mental Health CurrentSince Aug 1, 2003 Accepting new patients

Locations

33 College Hill Rd
Ste 29C
Warwick, RI 02886
Phone (401) 732-5678

33 College Hill Rd
Bldg 29
Warwick, RI 02886
Phone (401) 738-1239

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1669417077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 COLLEGE HILL RD",
            "address_2": "BLDG 29",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862776",
            "telephone_number": "401-822-4673",
            "fax_number": "401-822-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 COLLEGE HILL RD",
            "address_2": "BLDG 29",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862776",
            "telephone_number": "401-822-4673",
            "fax_number": "401-822-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHWORTH",
        "first_name": "JUDITH",
        "credential": "PCNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "RI",
            "license": "RN14141",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "RI",
            "license": "APRN00187",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "RI",
            "license": "CAPRN00187",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GIC",
            "identifier": "BLK31",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IL",
            "identifier": "410930",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS & BLUE SHIELD",
            "identifier": "26721-4",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH PLANS",
            "identifier": "05-0468084",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED HEALTH PLANS",
            "identifier": "410930",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.